Notice of Privacy Practices
Effective Date: 05/21/2026
This Privacy Policy covers services provided to you by Cedarcrest Children’s Dentistry. By law, we are required to maintain the privacy of protected health information and to provide you with the Policy of our legal duties and privacy practices with respect to protected health information. Protected health information consists of information about you (including demographic information) that may identify you and that relates to your past, present, or future physical or mental health or condition. It also includes related health care services.
The Policy describes how Cedarcrest Children’s Dentistry may use and disclose your protected health information to carry out treatment, payment, or health care operations. Other uses and disclosures of your information will be made only with your written authorization (unless otherwise permitted or required by law). The Policy also describes your rights to access and control your protected health information and informs you of your rights to make a complaint to either the office or to the Secretary of Health and Human Services if you believe we have violated your rights.
We are required to abide by the terms of the Policy. We may change the terms of the policy at any time. The new notice will be effective for all protected health information that we maintain at the time of the change. We can provide you with any revised Policy upon request. You may contact our office by calling our office and requesting that a revised copy be provided or asking for one at your next appointment.
Please read this Policy carefully.
Notice of Privacy Practices
This Notice Describes How Medical Information About You May Be Used and Disclosed and How You Can Get Access to This Information. Please Review It Carefully.
I. Dental Practice Covered by this Notice
This Notice describes the privacy practices of Cedarcrest Children’s Dentistry (“Dental Practice”). “We” and “our” means the Dental Practice. “You” and “your” means our patient.
II. How to Contact Us / Our Privacy Official
If you have any questions or would like further information about this Notice, you can contact Cedarcrest Children’s Dentistry at:
III. Our Promise to You and Our Legal Obligations
The privacy of your health information is important to us. We understand that your health information is personal and we are committed to protecting it.
This Notice describes how we may use and disclose your protected health information to carry out treatment, payment or health care operations and for other purposes that are permitted or required by law. It also describes your rights to access and control your protected health information.
Protected health information is information about you, including demographic information, that may identify you and that relates to your past, present or future physical or mental health or condition and related health care services.
We are required by law to:
- Maintain the privacy of your protected health information;
- Give you this Notice of our legal duties and privacy practices with respect to that information; and
- Abide by the terms of our Notice that is currently in effect.
IV. Last Revision Date
This Notice was last revised on August 1, 2021.
V. How We May Use or Disclose Your Health Information
The following examples describe different ways we may use or disclose your health information. These examples are not meant to be exhaustive.
We are permitted by law to use and disclose your health information for the following purposes:
A. Common Uses and Disclosures
1. Treatment: We may use your health information to provide you with dental treatment or services.
2. Payment: We may use and disclose your health information to obtain payment from health plans and insurers.
3. Health Care Operations: We may use and disclose your health information for operational purposes including quality assurance and training.
4. Appointment Reminders: We may contact you to remind you of appointments via phone, text, email, or mail.
5. Treatment Alternatives: We may inform you about treatment options or services.
6. Family Members: We may disclose information to individuals involved in your care when appropriate.
7. Business Associates: We may share information with vendors who support our operations under strict confidentiality agreements.
B. Less Common Uses and Disclosures
We may also disclose information when required by law, for public health activities, oversight agencies, legal proceedings, law enforcement, and other legally permitted purposes.
VI. Authorization for Other Uses
Any other use or disclosure not described in this Notice will only be made with your written authorization unless otherwise permitted by law.
VII. Your Rights
You have rights including access to your records, amendments, restrictions, confidential communications, accounting of disclosures, paper copies, and breach notifications.
VIII. Special Protections
Certain information may have additional protections under federal and state law including mental health, substance abuse, HIV-related, and genetic information.
IX. Our Right to Change Our Privacy Practices and This Notice
We reserve the right to change the terms of this Notice at any time. Any change will apply to the health information we have about you or create or receive in the future.
We will post the revised Notice in our office and on our website if applicable, and make it available upon request.
The effective date of this Notice is 05/21/2026.
X. How to Make Privacy Complaints
If you believe your privacy rights have been violated, you may file a complaint with our Privacy Official or with the U.S. Department of Health and Human Services, Office for Civil Rights.
We will not retaliate against you for filing a complaint.
XI. Ensuring Your Information Remains Confidential
No mobile information will be shared with third parties or affiliates for marketing or promotional purposes. All other categories exclude text messaging originator opt-in data and consent; this information will not be shared with any third parties.
